Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $3,715.35	Professional		$870.96	$1,071.52	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,238.72	Professional		$933.25	$1,202.26	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,344.23	Professional		$851.14	$1,230.27	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,238.72	Professional		$812.83	$1,202.26	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,288.25	Professional		$616.60	$933.25	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,949.84	Professional		$831.76	$1,000.00	$1,949.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $8,912.51	Facility		$54.95	$56.23	$8,912.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $8,317.64 / $8,317.64	Professional		$7,762.47	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,995.26	Facility		$912.01	$1,230.27	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,202.26 / $2,454.71	Professional		$758.58	$1,202.26	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,318.26	Professional		$776.25	$912.01	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,995.26	Professional		$776.25	$1,047.13	$1,995.26